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General NPI Number Information
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NPI Number | 1003306259
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Entity Type | Organization
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Legal Business Name | ATKINSON FAMILY DENTAL
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 9893 N MICHIGAN RD STE 180
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City | CARMEL
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State | IN
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Zip | 46032-7966
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Country | US
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Telephone | 317-872-6326
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Fax | 317-872-6325
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Provider Business Mailing Address
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Address Line | 2037 STANHOPE ST
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City | CARMEL
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State | IN
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Zip | 46032-7238
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Country | US
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Telephone | 574-360-6461
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NATALIE ATKINSON
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Credential | DDS
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Telephone | 574-360-6461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 12011661A
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License Number State | IN
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